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颈动脉硬化超声参数对冠心病的诊断价值

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目的 探讨颈动脉硬化超声参数对冠心病的诊断价值.方法 选取 2022 年 1 月至 2022 年 12 月我院收治的 87 例冠心病患者纳入观察组,同期于我院体检的 87 名健康人员纳入对照组.两组入院后均使用超声仪器对颈动脉进行检测,比较两组的颈动脉硬化斑块指数、颈总动脉IMT及颈内动脉IMT,评估颈动脉硬化超声参数对冠心病的诊断效能.结果 观察组的颈动脉硬化斑块指数、颈总动脉IMT、颈内动脉IMT均高于对照组(P<0.05).ROC曲线显示,颈动脉硬化斑块指数、颈总动脉IMT、颈内动脉IMT联合检测诊断冠心病的AUC为 0.924,高于各指标单独检测(P<0.05).颈动脉硬化斑块指数、颈总动脉IMT、颈内动脉IMT联合检测诊断冠心病的灵敏度、特异度与准确率均高于三项指标单独检测(P<0.05).结论 冠心病患者存在明显的颈动脉粥样病变,临床使用超声检测颈动脉硬化参数对冠心病的诊断价值较高.
Diagnostic Value of Carotid Atherosclerosis Ultrasound Parameters for Coronary Heart Disease
Objective To explore the value of carotid atherosclerosis ultrasound parameters in the diagnosis of coronary heart disease.Methods 87 patients with coronary heart disease admitted to our hospital from January 2022 to December 2022 were selected as the observation group,and 87 healthy people who underwent physical examination in our hospital during the same period were selected as the control group.After admission,the carotid artery was detected by ultrasound instrument in both groups.The carotid atherosclerosis plaque index,common carotid artery IMT and internal carotid artery IMT were compared between the two groups,and the diagnostic efficacy of carotid atherosclerosis ultrasound parameters for coronary heart disease was evaluated.Results The carotid atherosclerosis plaque index,common carotid artery IMT and internal carotid artery IMT in the observation group were higher than those in the control group(P<0.05).ROC curve showed that the AUC of combined detection of carotid atherosclerosis plaque index,common carotid artery IMT and internal carotid artery IMT in the diagnosis of coronary heart disease was 0.924,higher than that of single detection of each index(P<0.05).The sensitivity,specificity and accuracy of combined detection of carotid atherosclerosis plaque index,common carotid artery IMT and internal carotid artery IMT in the diagnosis of coronary heart disease were higher than those of single detection of the three indicators(P<0.05).Conclusions There are obvious carotid atherosclerosis lesions in patients with coronary heart disease.The clinical use of ultrasound to detect carotid atherosclerosis parameters has high diagnostic value for coronary heart disease.

UltrasoundCoronary heart diseaseCarotid atherosclerosis parameterDiagnostic value

郭煜、丁远、郑重

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新乡医学院第一附属医院超声科,河南新乡 453100

超声 冠心病 颈动脉硬化参数 诊断价值

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(2)
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